Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.63 / $1,263.63 / $3,375.33	Facility		$1,263.63	$1,263.63	$3,375.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.63 / $1,615.17 / $1,824.19	Professional		$1,263.63	$1,615.17	$1,824.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,900.20 / $2,436.69	Facility		$1,050.00	$1,900.20	$2,436.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $1,900.20	Professional		$500.00	$500.00	$1,900.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.20 / $2,755.29 / $4,084.09	Facility		$1,900.20	$2,755.29	$4,084.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,838.82 / $4,180.43 / $5,969.85	Facility		$2,838.82	$4,180.43	$5,969.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,710.18 / $2,090.21 / $2,660.28	Professional		$1,710.18	$2,090.21	$2,660.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,204.23 / $2,546.27 / $3,515.37	Professional		$2,204.23	$2,546.27	$3,515.37
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,140.11 / $3,326.30	Professional		$798.08	$1,140.11	$3,326.30